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- W4386477462 abstract "Introduction: Necrotizing soft tissue infections are associated with an extremely fulminating course, owing to its rapid destruction of tissue planes underlying the skin. Albeit uncommon in incidence, urgent medical and surgical intervention is required once diagnosis is reached. Aeromonas associated monomicrobial NSTIs are usually associated with exposure to fresh water, via trauma, trivial abrasions or even reptile bites, particularly among agricultural workers and fish handlers. Delay in appropriate antimicrobial and surgical management can even lead to fatality.Case report: A 40-year-old male patient, known case of alcoholic liver disease, presented to the emergency department with pain and diffuse swelling of bilateral lower limbs, which quickly progressed to form blackish discolouration and blebs. Blood for preliminary haematological and biochemical investigations, as well as fluid draining from blebs was sent for microbiological investigation. The gram stain revealed occasional pus cells and gram-negative bacilli, pure growth in aerobic culture was identified as Aeromonas jandaei by MALDI-TOF MS. Patient was started on empirical antimicrobials, though lesions continued to progress and he ultimately succumbed within 24 hours of his hospital stay.Conclusion: As appropriate antimicrobial therapy and early surgical intervention are required for management of the same, occupational exposure and the fulminant course should raise suspicion of likelihood of Aeromonas associated infections." @default.
- W4386477462 created "2023-09-07" @default.
- W4386477462 creator A5008571712 @default.
- W4386477462 date "2023-09-04" @default.
- W4386477462 modified "2023-09-27" @default.
- W4386477462 title "Reviewer response for version 1" @default.
- W4386477462 doi "https://doi.org/10.1099/acmi.0.000636.v1.3" @default.
- W4386477462 hasPublicationYear "2023" @default.
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